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Colorectal cancer screening practices among cancer survivors five years after diagnosis

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Abstract

Background

Colorectal cancer (CRC) has a high incidence worldwide, especially in high-income countries. In France, a national CRC screening program targeting residents aged 50–74 years has been in place since 2009. Little is known about CRC screening practices in cancer survivors, even though some have an increased risk of developing a second cancer in the colorectum. This study aims to identify the barriers to CRC screening among cancer survivors.

Methods

This cross-sectional study based on the French national VICAN survey included individuals diagnosed in 2010 with a cancer in 1 of 11 locations other than the colorectum and interviewed 5 years after diagnosis about various health-related issues. Binary logistic regression was used to identify the factors associated with lack of up-to-date CRC screening in cancer survivors without cancer progression.

Results

Of the 2935 cancer survivors included in the study, 35.3% reported undergoing a screening test in the previous 2 years. The rate of up-to-date CRC screening rose to 49.3% in survivors aged 51–75 years. Among these, lack of CRC screening in the recommended time frame was associated with obesity, current smoking, non-use of complementary medicine, perceived financial difficulties, and poor access to general practitioners.

Conclusions

Barriers to CRC screening can be personal and/or institutional.

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Funding

Adeline Monet was supported by La Ligue Nationale contre le Cancer. The VICAN study was funded by the French National Institute of Cancer (Institut National du Cancer, INCa) (Contrat de recherche et développement n°05-2011).

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Authors and Affiliations

  1. Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, Marseille, France

    Adeline Monet, Rajae Touzani, Anne-Déborah Bouhnik & Marc-Karim Bendiane

  2. Institut Paoli-Calmettes, SESSTIM U1252, Marseille, France

    Rajae Touzani

  3. Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, Hop Timone, BioSTIC, Biostatistique et Technologies de l’Information et de la Communication, Marseille, France

    Julien Mancini

Authors
  1. Adeline Monet
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  2. Rajae Touzani
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  3. Anne-Déborah Bouhnik
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  4. Marc-Karim Bendiane
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  5. Julien Mancini
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Corresponding author

Correspondence to Anne-Déborah Bouhnik.

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Conflict of interest

No conflict of interest was reported by the authors of this paper.

Role of funding source

This content is solely the responsibility of the authors and does not necessarily represent the official position of the French National Cancer Institute (INCa). The INCa had no role in the study design; analysis and interpretation of data; writing the research article and decision to submit it for publication.

Ethical approval

Three national ethics commissions have approved the methodology of the VICAN survey: the CCTIRS (Comité Consultatif sur le Traitement de l’Information en matière de Recherche dans le domaine de la Santé, registration n°11-143), the ISP (Institut thématique Santé Publique, registration n°C11-63) and the CNIL (Commission Nationale de l’Informatique et des Libertés, registration n°911290).

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Informed consent was obtained from all individual participants included in the study.

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Monet, A., Touzani, R., Bouhnik, AD. et al. Colorectal cancer screening practices among cancer survivors five years after diagnosis. J Public Health (Berl.) 29, 805–813 (2021). https://doi.org/10.1007/s10389-019-01179-w

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  • DOI: https://doi.org/10.1007/s10389-019-01179-w

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